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Full Facelift/Rhytidectomy

facelift, or rhytidectomy, is a cosmetic surgical procedure to improve visible signs of aging (wrinkles or sagging skin) in the face and neck.

Full facelift can be described as different separate procedures, each of them involving a different area of the face being treated. Different people may need various amounts of procedures so one person can get a different set of procedures that will count as a full facial improvement, than another.

Usually, full face rejuvenation includes a lower or middle facelift, forehead lift and possibly, surgery on the eyelids. Here is presented a most general overview of complete facelift procedures. Surgical details and explanations for certain procedures, usually done during a facelift are described in separate articles.

Forehead lift, also called the brow lift, decreases forehead lines, as well as creases, and may improve the “frown lines”, appearing between the eyebrows. In the case of sagging of the eyebrows, they can also be raised with this treatment, restoring a stronger appearance for the upper part of the face.

Blepharoplasty commonly referred to as eyelid surgery, can be done on the upper, lower or all eyelids. While performing eyelid surgery, deposits of fat are moved or cut, possibly with excess skin tissues, as well as muscles, to brighten the eyes’ appearance. Mid-facelift, often called a cheek lift, renovates the center area of the face, from the eye corners to the mouth sides.

Muscles and fat, lying underneath, and that are sagged over time, get raised back on the cheek bones. Lower facelift helps to decrease appearances of deep wrinkles on the face, sagging of jowls and neck and restores a proper, younger appearance. While the lower facelift is performed, tissues and muscles lying underneath the face are getting positioned differently, deposits of fat are getting removed, as well as excess skin, and skin on the face gets tightened. You should consult with your doctor to check every possible option to choose what’ll be best for you. You can also learn more details about different procedures in separate articles or researching each procedure.

Facelift Lower

Aging signs in the face and neck areas begin to occur because of several reasons, such as heredity, type of skin, amount of sunlight exposed to and certain lifestyles. Lower facelift helps reducing deep facial wrinkles occurrence, sagging jowls and neck banding.

This helps restore a firm, younger appearance. The face tissues usually get weaker in time, not being able to maintain a proper position. Fat deposits also travel downwards, or get removed, creating empty areas. All of these changes make for deep wrinkles, jowls and loose skin to appear. Lower facelift repositions tissues and muscles lying underneath the skin, removes fatty tissue deposits and tightens the facial skin, as well as removing the extra skin.

Before starting the procedure, one of two types of the anesthesia can be applied. General anesthesia makes you sleep, while local anesthesia with IV sedation causes the areas being treated to become numb and make you relaxed but not entirely asleep. Before making the cuts, surgeon may part the hair in the incision area to draw incision marks – this way the scars from the operation will be as hidden as possible.

Usually, only one incision is made inside the hairline that extends downward around the ear and into the hairline on the back of the head. Special instruments elevate the skin away from tissues underneath the lower parts of the face, jaw line and neck.

The SMAS – a tissue layer, composed of muscles and fibrous connective tissues, gets exposed and can also be repositioned to lift and tighten the face structures, lying underneath.  Surgeon may also choose to change the position of neck muscles or remove portion of them to decrease skin laxity and neck banding.

Fatty tissues can also be removed to advance the sculpting of the area. When the necessary corrections to the structures underneath are done, surgeon will extend and remove excess skin to form the natural face contours. Sometimes, surgical drains can be used to prevent liquid build-up during healing.

Bandages, as well as drainage tubes, are usually removed in seven to ten days after the procedure. Tiring activities should be avoided, as advised by your physician, in order to give your body enough time to heal. The results will become visible and the scars will fade to thin after several weeks.


Facelift – Mid

Middle facelift is an operation that tightens the middle part of the face and reduces wrinkles, as well as age signs. Best candidates for a mid-facelift are those, who desire a happier, softer and more youthful appearance in the middle of the face and haven’t experienced significant sagging in the lower parts of the face and neck and possibly, younger than those requiring a full face lift.

The middle facelift, also known as a cheek lift, renovates the face center, in an area from the eye corners to mouth sides. Muscles and fat underneath the skin that are sagged get lifted back on the cheek bones. If you pull your skin a bit up and to the sides from the cheekbones can give a rough indication of what results a middle facelift can achieve.

The operation can be done under the local anesthesia as well, where tiny injections make you lose feelings of the area being treated. The complete procedure usually takes around an hour – but it also can be done with different procedures, at the same time.

The surgeon can help determine the required types of operation, as well as the needed outcome. Small incision is usually made above the ears, in the temple areas, hidden in the hairline. On the other hand, a par of incisions can be hidden beneath your eyelashes in the lower eyelids. Additional number of incisions is made inside the upper lip.

Surgical instruments get inserted through both incisions and lift the skin, fat underneath it, as well as muscle tissues, from the cheekbones. After this, the surgeon places sutures trough the deposits of fat and muscles, lifting them upwards and securing them to the tissues in the temple area, near the upper incisions.

All of them are then sutured to finish the operation. Improvements to the round shape of the middle face areas are noticeable almost immediately, continuing to improve for the next several weeks.  Swelling or bruising fades in time and you may also be treated with ice packs. Minor pain from the operation can be managed with medications. General activities can be resumed after a few days.

Facelift – Mini

Mini facelift removes the aging signs in the lower parts of the face and has a number of other names, like a weekend lift, S-lift, MACS Liftand limited incision lift. Although details about these operations can vary, they all are different kinds of a mini facelift.

Mini facelift is called like that because of the small length of surgery and healing time, comparing to other facelifts and of the short s-shaped cut in front of the ear. Aging signs in the face can show for a number of reasons: heredity, type of skin, exposure to sunlight and lifestyle.

Mini facelift returns the younger appearance of the lower parts of the face, correcting sagging of skin and removing areas of excess deposits of fatty tissues in the jawline. Optimal candidates for a mini facelift are people between the ages of 40 and 55, having mild to moderate amount of loose skin in the lower face. People with large amounts of loose skin are possibly better candidates for a proper facelift.

Face tissues tend to weaken in time, losing the normal resiliency and their normal, firm position. Fatty tissue deposits also travel downwards or get depleted, creating empty areas. These changes let deep wrinkles, jowls and loose skin to be formed in the lower parts of the face. Mini facelift repositions layers of tissue under the skin and tightens the facial muscles.

Three possible types of anesthesia can be used during the operation. General anesthesia; IV sedation to relax but you won’t be entirely asleep; and finally – local anesthesia that makes you lose all feelings of the area that is being treated.  Special kind of fluid – a tumescent fluid – can be inserted in the area in front of the ear.

Tumescent fluid is a special, sterile saline solution that allows the skin to be lifted from tissues underneath it, as well as contains agents that prevent pain and minimize bleeding.

Physician draws marks for incisions, from the hairline above the ear, to the front of the ear and finishing behind the earlobe. Narrow s-shaped section is removed and the skin gets raised higher. Using the sutures, the surgeon pulls fat and muscles, lying underneath it, towards the cheekbones. This procedure lifts the sagging jowls.

Skin is pulled toward the ear and incision is sutured to conceal scars. The operation is repeated on both sides of the face, usually taking less than two hours. Wearing bandage for several days after surgery may be proposed and some bruising and swelling, following the procedure, is to be expected.

How long does a Facelift last?

Surgical Facelift in India is a rather extensive cosmetic procedures that can have some dramatic results. When done well, a facelift can appear to takes years or decades off a person’s features. However, as with most types of cosmetic surgeries and procedures, you can only delay time not deny it.


On average, the effects of a facelift can last years, but not everyone is the same.

There are many different factors that play into how long the effects of a facelift last. Diet, exercise, genetics, sun exposure, and lifestyle are major factors. If you smoke can also affect how long the results carry on. Age is one aspect that has more affect on the impact of the procedure instead of its longevity.

If you take excellent care of your skin then it will help the results last longer, but neglecting good beauty routines can result in the effects fading. Despite its intensive nature, facelifts are not without being subject to a lot potential counter effects. If you do not take meticulous care afterward, you will find yourself will some unsightly and telltale sagging.

Proper care to help prevent signs of aging boil down to your upkeep.

Managing your skin care, diet, and weight are the major areas that require constant care for maintaining the more youthful appearance that can be gained with a facelift. Keep your skin moisturized and out of the sun.

Temporary fillers can be used for touch ups as needed, but should be used with care. The underlying tissues of your face change when you have had a facelift, and can result in unsightly bulges. If you do opt to use cosmetic procedures as part of your maintenance, be it fillers, be sure to use the same plastic surgeon.

What to do to prevent signs of ageing years after facelift?

Some people make the mistake of using multiple doctors and end up with less than desirable results that detract from the effectiveness of the facelift. For the less procedure intensive routine to maintain a facelift, including vitamins such as biotin, antioxidants, and vitamins A and E, can all help maintain the health of your skin.

Topical lotions and treatments designed to help improve the collagen in your skin are also beneficial in maintaining a more youthful appearance.  There are many good products that the plastic surgeon can recommend, or that you can find in many beauty or department stores.

Why should you opt for Facelift?


When we are young (and carefree) we take too many things for granted, not the least of which is our youth. In our 20s and 30s looking in the mirror is everyone’s favourite pastime and we thoroughly enjoy dressing up and making the most of our appearance.

As we cross into 40s and enter in our 50s though, things change. The mirror is suddenly not our most favourite place, and if we stand before it for too long, it’s only to rue over how quickly time passed and our youth faded. If you too find yourself pondering these questions, maybe it’s time you considered a facelift!

Look Younger

The most obvious and straightforward reason people choose to undergo a facelift surgery is to look younger than they are. While this might sound shallow, superficial or even vain; youth is indeed very precious, and a youthful appearance a prized commodity.

Looking younger isn’t just for celebrities, models or actresses. It has been scientifically observed than those who look younger generally do much better in business or their respective fields. They are more likely to get the jobs they want, have opportunities presented to them and also be taken seriously.

It may seem unfair, but the rationale behind this is simple: Youthful Appearance = Good Health. And of course, everyone wants to employ, marry or do business with a healthy individual. It’s not surprising then that most men and women noticed a significant positive change in the way people dealt with them post a facelift surgery.

Retain your Attractive Features

Young skin has ample collagen that gives it its elasticity and firmness. These two qualities make skin appear soft, smooth and plump. It’s also what gives your face its unique contours and determines its shape. Ever got complimented for your expressive eyes or dazzling smile?

Thank collagen for that! It works along with your muscles keep your face in good shape and your features on point. As skin ages it loses this collagen and in turn, also loses the elasticity and firmness. Skin sags, develops wrinkles, uneven fat pockets or jowls.

Suddenly your eyes are no longer expressive and your smile doesn’t dazzle anybody – even though all your teeth are still pearly white. The truth is it’s the collagen that made your features stand out and without it your face loses it shape and your attractive features are lost. Facelifts help bring back the elasticity and firmness, helping you retain your features and still get those compliments!

Newer, Cutting Edge Procedures

There was a time facelift surgeries meant hours on the operating table, a long and painful recovery period, the occasional (but nonetheless traumatic) scarring or worse – complications arising out of surgery. Moreover, it was also incredibly expensive and not easily available – meant only for the rich and the famous. However, all that has changed now. With medical advances, facelifts today have become quick, painless, safe and also very common.

There are now a number of non-surgical facelift treatments – Botox, Dermal Fillers (Liquid Facelifts), Thermage, and minimally invasive thread lifts – that take less than a few hours, do not require sedation, cause no pain or scarring and give results comparable to a full-blown surgery. At Tamira we offer all of these treatments – so if going under the knife gives you chills, you can still get a facelift minus the stress!

Instant Transformation

Beyond a certain age, your skin becomes extremely susceptible to any kind of external stress. While diet and exercise need to be a part of everyone’s daily routine – most of us only begin to understand this in our late 30s. By then, our skin has already started ageing, and this process cannot be reversed simply by eating better or running or the treadmill.

Facelifts are an excellent way to make up for lost time and still get the face you want. The results are subtle and natural. Of course there is no substitute for exercise and a healthy diet, and there’s more to a healthy body than just a young face – but, looking in the mirror and loving what you see goes a long way in boosting your confidence and motivating you to stay healthier! In fact, many women over 50 feel like their lives and their perception of themselves changed completely post a facelift!

Still not sure if you should go for it? At Tamira we have the best doctors and specialists in the country administering facelifts on a regular basis to extremely satisfied customers. Whatever your concerns, with advanced treatments and the latest medical technology, we have a way to lift not just your face but also your spirit! Call us today for a consultation!

Non-Surgical Facelift Lift Treatment

How to Get a Facelift Without Surgery?

The signs of aging start to appear over the face much earlier than other parts of the body. A regular face lifts if preferable after the age of 50. Between the ages of 20 and 50 a number of Non Surgical procedures could be performed to give a face lift like effect.

These procedures are not permanent and multiple sessions may be required. Included in this armamentarium are Combination of fillers and creams, Radio Frequency Skin tightening, Lasers and Thread lifts.

Combination of fillers and creams could be used from the age of 20 to result in tighter, fuller and glowing face. Treatments over the Jaws, forehead and neck along with filler over cheek along with creams to regularize cell turnover and melanin production mimics a facelift.

Radio frequency skin tightening is done between 20 and 50 years of age to tighten the skin which has minimally sagged. Multiple sessions and maintenance session may be required for a satisfactory result.

Thread lift is performed between 30 and 50 years to correct sagging without much skin excess. The procedure is performed within an hour under local anaesthesia or minimal sedation. Dr Jayanthy was trained by Dr Woffles Wu to perform “Dr Woffles Wu Lift” which results in dramatic result within half an hour. However lift performed with threads may require additional threads after two years.

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Tamira Plastic Surgery

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